Colorectal Cancer in Elderly Patients with Surgical Indication: State of the Art, Current Management, Role of Frailty and Benefits of a Geriatric Liaison

International Journal of Environmental Research and Public Health

Luis M. Jiménez-Gómez¹  José Antonio Serra-Rexach²  Sara Majuelos González²  Jennifer Mayordomo-Cava²  Paula Aldama-Marín²  María T. Vidán-Astiz²  Nicolás M. González-Senac²  María Luisa Cruz Arnés²  Angela Macías-Valle³ 

[1] General Surgery Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain;Geriatric Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain;School of Physical Activity and Sport Sciences, Universidad Politécnica de Madrid, 28040 Madrid, Spain;

关键词: colorectal cancer;    elderly;    frailty;    geriatric syndromes;    comprehensive geriatric assessment;    geriatric liaison;   

DOI  :  10.3390/ijerph18116072

来源: DOAJ

【 摘 要 】

Six out of every 10 new colorectal cancer (CRC) diagnoses are in people over 65 years of age. Current standardized surgical approaches have proved to be tolerable on the elderly population, although post-operative complications are more frequent than in the younger CRC population. Frailty is common in elderly CRC patients with surgical indication, and it appears to be also associated with an increase of post-operative complications. Fast-track pathways have been developed to assure and adequate post-operative recovery, but comprehensive geriatric assessments (CGA) are still rare among the preoperative evaluation of elderly CRC patients. This review provides a thorough study of the effects that a CGA assessment and a geriatric intervention have in the prognosis of CRC elderly patients with surgical indication.

【 授权许可】

Unknown